The Impact of Hydramnios on Pregnancy Outcome in Twin Gestations
OBJECTIVE: To compare pregnancy outcome in twin pregnancies with and without hydramnios. STUDY DESIGN: A database of women receiving outpatient preterm labor surveillance services was studied for the period 1988 to 2002. Included were women with twin gestations under 30 weeks' gestation at star...
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| Veröffentlicht in: | Journal of perinatology 2005-01, Vol.25 (1), p.8-10 |
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| creator | Orhan, Ayfer Kurzel, Richard B Istwan, Niki B Rhea, Debbie Burgess, Eric Stanziano, Gary |
| description | OBJECTIVE:
To compare pregnancy outcome in twin pregnancies with and without hydramnios.
STUDY DESIGN:
A database of women receiving outpatient preterm labor surveillance services was studied for the period 1988 to 2002. Included were women with twin gestations under 30 weeks' gestation at start of outpatient services. We compared pregnancy outcomes for twin gestations with hydramnios (
n
=201) to twin gestations that had normal amniotic fluid volume (
n
=13,111).
RESULTS:
Obstetrical and perinatal outcomes in twin pregnancies were adversely affected by the presence of hydramnios. Delivery was shifted to earlier gestations in women with hydramnios (32.8 vs 35.1 weeks,
p |
| doi_str_mv | 10.1038/sj.jp.7211204 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_67332644</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A183336762</galeid><sourcerecordid>A183336762</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4094-c59f0066d1b8f3a4c03f6d56830e51e2aff46228f335485b005c37e292b72fec3</originalsourceid><addsrcrecordid>eNptkc1r2zAYxkVZabNsx12H2aA3p_qWc1spW1sotIf0LBT5VWJjS55kU_LfT1kCWUcRSKDn9z7vF0JfCF4QzKrr1C7aYaEoIRTzMzQjXMlSCM4-oBlWnJUV4_ISfUypxXgvqgt0SQRfykrRGfqx2kLx0A_GjkVwxf2ujqb3TUhF8MVzhI033u6Kp2m0oYei8cXqNV93kEYzNsGnT-jcmS7B5-M7Ry-_fq5u78vHp7uH25vH0nK85KUVS4exlDVZV44ZbjFzshayYhgEAWqc45LSrDHBK7HGWFimgC7pWlEHls3R1cF3iOH3lNPrvkkWus54CFPSUjFGJecZ_PYf2IYp-lybphQzVbE8tzn6foA2pgPdeBfGaOzeUd-QijEmlaSZWrxD5VND39jgwTX5_03A1T8BWzDduE2hm_5O6i1YHkAbQ0oRnB5i05u40wTr_V51anU76ONeM__12NS07qE-0cdFnkpNWfIbiKeu33f8A7QQqSI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>220378310</pqid></control><display><type>article</type><title>The Impact of Hydramnios on Pregnancy Outcome in Twin Gestations</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Orhan, Ayfer ; Kurzel, Richard B ; Istwan, Niki B ; Rhea, Debbie ; Burgess, Eric ; Stanziano, Gary</creator><creatorcontrib>Orhan, Ayfer ; Kurzel, Richard B ; Istwan, Niki B ; Rhea, Debbie ; Burgess, Eric ; Stanziano, Gary</creatorcontrib><description>OBJECTIVE:
To compare pregnancy outcome in twin pregnancies with and without hydramnios.
STUDY DESIGN:
A database of women receiving outpatient preterm labor surveillance services was studied for the period 1988 to 2002. Included were women with twin gestations under 30 weeks' gestation at start of outpatient services. We compared pregnancy outcomes for twin gestations with hydramnios (
n
=201) to twin gestations that had normal amniotic fluid volume (
n
=13,111).
RESULTS:
Obstetrical and perinatal outcomes in twin pregnancies were adversely affected by the presence of hydramnios. Delivery was shifted to earlier gestations in women with hydramnios (32.8 vs 35.1 weeks,
p
<0.001), especially under 32 weeks (38.3 vs 12.7%). Perinatal loss was notable in women with hydramnios: stillbirths (12.7 vs 1.1%,
p
<0.001) and neonatal mortality (7.5 vs 1.1%,
p
<0.001).
CONCLUSIONS:
Hydramnios in twin gestations negatively impacts gestational age at delivery. The incidence of perinatal mortality is significantly increased in the presence of hydramnios.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/sj.jp.7211204</identifier><identifier>PMID: 15496872</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>Amniotic fluid ; Case-Control Studies ; Childbirth & labor ; Enrollments ; Female ; Gestational Age ; Health aspects ; Humans ; Infant Mortality ; Infant, Newborn ; Infants ; Intensive Care, Neonatal ; Medicine ; Medicine & Public Health ; Mortality ; original-article ; Outpatient care facilities ; Patient outcomes ; Patients ; Pediatric Surgery ; Pediatrics ; Physiological aspects ; Polyhydramnios - complications ; Polyhydramnios - mortality ; Pregnancy ; Pregnancy complications ; Pregnancy Outcome ; Pregnancy, Multiple ; Premature Birth - etiology ; Premature labor ; Surveillance ; Twins ; Uterine Monitoring ; Uterus</subject><ispartof>Journal of perinatology, 2005-01, Vol.25 (1), p.8-10</ispartof><rights>Springer Nature America, Inc. 2005</rights><rights>COPYRIGHT 2005 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4094-c59f0066d1b8f3a4c03f6d56830e51e2aff46228f335485b005c37e292b72fec3</citedby><cites>FETCH-LOGICAL-c4094-c59f0066d1b8f3a4c03f6d56830e51e2aff46228f335485b005c37e292b72fec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.jp.7211204$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.jp.7211204$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15496872$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Orhan, Ayfer</creatorcontrib><creatorcontrib>Kurzel, Richard B</creatorcontrib><creatorcontrib>Istwan, Niki B</creatorcontrib><creatorcontrib>Rhea, Debbie</creatorcontrib><creatorcontrib>Burgess, Eric</creatorcontrib><creatorcontrib>Stanziano, Gary</creatorcontrib><title>The Impact of Hydramnios on Pregnancy Outcome in Twin Gestations</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>OBJECTIVE:
To compare pregnancy outcome in twin pregnancies with and without hydramnios.
STUDY DESIGN:
A database of women receiving outpatient preterm labor surveillance services was studied for the period 1988 to 2002. Included were women with twin gestations under 30 weeks' gestation at start of outpatient services. We compared pregnancy outcomes for twin gestations with hydramnios (
n
=201) to twin gestations that had normal amniotic fluid volume (
n
=13,111).
RESULTS:
Obstetrical and perinatal outcomes in twin pregnancies were adversely affected by the presence of hydramnios. Delivery was shifted to earlier gestations in women with hydramnios (32.8 vs 35.1 weeks,
p
<0.001), especially under 32 weeks (38.3 vs 12.7%). Perinatal loss was notable in women with hydramnios: stillbirths (12.7 vs 1.1%,
p
<0.001) and neonatal mortality (7.5 vs 1.1%,
p
<0.001).
CONCLUSIONS:
Hydramnios in twin gestations negatively impacts gestational age at delivery. The incidence of perinatal mortality is significantly increased in the presence of hydramnios.</description><subject>Amniotic fluid</subject><subject>Case-Control Studies</subject><subject>Childbirth & labor</subject><subject>Enrollments</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Infant Mortality</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Intensive Care, Neonatal</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>original-article</subject><subject>Outpatient care facilities</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Physiological aspects</subject><subject>Polyhydramnios - complications</subject><subject>Polyhydramnios - mortality</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy, Multiple</subject><subject>Premature Birth - etiology</subject><subject>Premature labor</subject><subject>Surveillance</subject><subject>Twins</subject><subject>Uterine Monitoring</subject><subject>Uterus</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkc1r2zAYxkVZabNsx12H2aA3p_qWc1spW1sotIf0LBT5VWJjS55kU_LfT1kCWUcRSKDn9z7vF0JfCF4QzKrr1C7aYaEoIRTzMzQjXMlSCM4-oBlWnJUV4_ISfUypxXgvqgt0SQRfykrRGfqx2kLx0A_GjkVwxf2ujqb3TUhF8MVzhI033u6Kp2m0oYei8cXqNV93kEYzNsGnT-jcmS7B5-M7Ry-_fq5u78vHp7uH25vH0nK85KUVS4exlDVZV44ZbjFzshayYhgEAWqc45LSrDHBK7HGWFimgC7pWlEHls3R1cF3iOH3lNPrvkkWus54CFPSUjFGJecZ_PYf2IYp-lybphQzVbE8tzn6foA2pgPdeBfGaOzeUd-QijEmlaSZWrxD5VND39jgwTX5_03A1T8BWzDduE2hm_5O6i1YHkAbQ0oRnB5i05u40wTr_V51anU76ONeM__12NS07qE-0cdFnkpNWfIbiKeu33f8A7QQqSI</recordid><startdate>20050101</startdate><enddate>20050101</enddate><creator>Orhan, Ayfer</creator><creator>Kurzel, Richard B</creator><creator>Istwan, Niki B</creator><creator>Rhea, Debbie</creator><creator>Burgess, Eric</creator><creator>Stanziano, Gary</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20050101</creationdate><title>The Impact of Hydramnios on Pregnancy Outcome in Twin Gestations</title><author>Orhan, Ayfer ; Kurzel, Richard B ; Istwan, Niki B ; Rhea, Debbie ; Burgess, Eric ; Stanziano, Gary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4094-c59f0066d1b8f3a4c03f6d56830e51e2aff46228f335485b005c37e292b72fec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Amniotic fluid</topic><topic>Case-Control Studies</topic><topic>Childbirth & labor</topic><topic>Enrollments</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infant Mortality</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Intensive Care, Neonatal</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mortality</topic><topic>original-article</topic><topic>Outpatient care facilities</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Physiological aspects</topic><topic>Polyhydramnios - complications</topic><topic>Polyhydramnios - mortality</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy, Multiple</topic><topic>Premature Birth - etiology</topic><topic>Premature labor</topic><topic>Surveillance</topic><topic>Twins</topic><topic>Uterine Monitoring</topic><topic>Uterus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Orhan, Ayfer</creatorcontrib><creatorcontrib>Kurzel, Richard B</creatorcontrib><creatorcontrib>Istwan, Niki B</creatorcontrib><creatorcontrib>Rhea, Debbie</creatorcontrib><creatorcontrib>Burgess, Eric</creatorcontrib><creatorcontrib>Stanziano, Gary</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Orhan, Ayfer</au><au>Kurzel, Richard B</au><au>Istwan, Niki B</au><au>Rhea, Debbie</au><au>Burgess, Eric</au><au>Stanziano, Gary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Hydramnios on Pregnancy Outcome in Twin Gestations</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2005-01-01</date><risdate>2005</risdate><volume>25</volume><issue>1</issue><spage>8</spage><epage>10</epage><pages>8-10</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>OBJECTIVE:
To compare pregnancy outcome in twin pregnancies with and without hydramnios.
STUDY DESIGN:
A database of women receiving outpatient preterm labor surveillance services was studied for the period 1988 to 2002. Included were women with twin gestations under 30 weeks' gestation at start of outpatient services. We compared pregnancy outcomes for twin gestations with hydramnios (
n
=201) to twin gestations that had normal amniotic fluid volume (
n
=13,111).
RESULTS:
Obstetrical and perinatal outcomes in twin pregnancies were adversely affected by the presence of hydramnios. Delivery was shifted to earlier gestations in women with hydramnios (32.8 vs 35.1 weeks,
p
<0.001), especially under 32 weeks (38.3 vs 12.7%). Perinatal loss was notable in women with hydramnios: stillbirths (12.7 vs 1.1%,
p
<0.001) and neonatal mortality (7.5 vs 1.1%,
p
<0.001).
CONCLUSIONS:
Hydramnios in twin gestations negatively impacts gestational age at delivery. The incidence of perinatal mortality is significantly increased in the presence of hydramnios.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>15496872</pmid><doi>10.1038/sj.jp.7211204</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-8346 |
| ispartof | Journal of perinatology, 2005-01, Vol.25 (1), p.8-10 |
| issn | 0743-8346 1476-5543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67332644 |
| source | MEDLINE; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Amniotic fluid Case-Control Studies Childbirth & labor Enrollments Female Gestational Age Health aspects Humans Infant Mortality Infant, Newborn Infants Intensive Care, Neonatal Medicine Medicine & Public Health Mortality original-article Outpatient care facilities Patient outcomes Patients Pediatric Surgery Pediatrics Physiological aspects Polyhydramnios - complications Polyhydramnios - mortality Pregnancy Pregnancy complications Pregnancy Outcome Pregnancy, Multiple Premature Birth - etiology Premature labor Surveillance Twins Uterine Monitoring Uterus |
| title | The Impact of Hydramnios on Pregnancy Outcome in Twin Gestations |
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